Individual
NATHAN P BUCKNER
Active
Individual
NATHAN P BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2022003328
MO
101YP2500X
Professional Counselor
Primary
2025027059
MO
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/25/2019
Last updated
07/27/2026
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